Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.94 / $4,467.00 / $6,915.00	Facility		$584.94	$4,467.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $648.05 / $790.77 / $1,075.68	Facility		$648.05	$790.77	$1,075.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.52 / $428.52 / $1,653.56	Facility		$428.52	$428.52	$1,653.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $412.94 / $608.64 / $930.56	Professional		$412.94	$608.64	$930.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00